Using Shelve to Save Objects in Python

Shelve is a  powerful Python module for object persistence. When you shelve an object, you must assign a key by which the object value is known. In this way, the shelve file becomes a database of stored values, any of which can be accessed at any time. Sample Code for Shelve in Python To shelve an object,  first import the module and then assign the object value as follows: import shelve database shelve.open(filename.suffix) object Object() database[key] object If you  want to keep a database of stocks, for example, you could adapt the following code: import shelve stockvalues_db shelve.open(stockvalues.db) object_ibm Values.ibm() stockvalues_db[ibm] object_ibm object_vmw Values.vmw() stockvalues_db[vmw] object_vmw object_db Values.db() stockvalues_db[db] object_db A stock values.db is already opened, you dont  need to open it again. Rather, you can open multiple databases at a time, write to each at will, and leave Python to close them when the program terminates. You could, for example, keep a separate database of names for each symbol, appending the following to the preceding code: ## assuming shelve is already imported stocknames_db shelve.open(stocknames.db) objectname_ibm Names.ibm() stocknames_db[ibm] objectname_ibm objectname_vmw Names.vmw() stocknames_db[vmw] objectname_vmw objectname_db Names.db() stocknames_db[db] objectname_db Note that any change in the name or suffix of the database file constitutes a different file and, therefore, a different database. The result is a second database file containing the given values. Unlike most files written in self-styled formats, shelved databases are saved in binary form. After the data is written to the file, it can be recalled at any time. If you want to restore the data in a later session, you re-open the file. If it is the same session, simply recall the value; shelve database files are opened in read-write mode. The following is the basic syntax for achieving this: import shelve database shelve.open(filename.suffix) object database[key] So a sample from the  preceding example would read: import shelve stockname_file shelve.open(stocknames.db) stockname_ibm stockname_file[ibm] stockname_db stockname_file[db] Considerations With Shelve It is  important to note that the database remains open until you close it (or until the program terminates). Therefore, if you are writing a program of any size, you want to close the database after working with it. Otherwise, the entire database (not just the value you want) sits in memory and consumes computing resources. To close a shelve file, use the following syntax: database.close() If all of the code examples above were incorporated into one program, we would have two database files open and consuming memory  at this point. So, after having read the stock names in the previous example, you could then close each database in turn as follows: stockvalues_db.close() stocknames_db.close() stockname_file.close()

Religion An Eminent Evolutionary Purpose - 978 Words

Religion is a specific rudimentary set of cultural beliefs that elucidates the interrelation uniting a human and a sacred supernatural being or power. This set of notions include the purpose of human subsistence, the justification for the existence of the universe, behavioural practices, individual convictions, ethics, organisations and moral codes to dictate the exploits of human affairs. Since time antediluvian humans have contoured a prerequisite for faith. This prerequisite has been an ingrained part of human essence as it is something us humans use to utilise and anticipate interminably to engender sense of the world. So what is faith? Faith can be elucidated as a strong set of religious dogma’s that are founded on spiritual†¦show more content†¦Indigenous religions usually form zealous spiritual tenets in supernatural forces. Those religions under the category of ‘indigenous’ employ myths and acting amalgamated through sacred rituals to exhibit their beliefs. Those residing with an indigenous religion have erudited to intersperse religion and daily life. Illustrations of some indigenous religions are; the Australian Aboriginals and many of the native Indian American tribes e,g Babine.†¨ Ancient Religions emanated from ancient civilisations and no longer exist as they subsided as the civilisation did. An ancient religion can be explicated as a religion originating from an ancient civilisation, nonetheless there are multiple components that conjoin to make it ‘ancient’. These elements comprise of: beliefs in deities and spirits, sacred stories and scriptures, rituals, sacred spaces and signs and symbols. In numerous ancients religions, mythology configured the basis of all of their radical convictions. Myths were availed not just to expound why specific events occur, but also as a sense of guidance. Sacred rituals were performed on a daily basis to ensure that their supernatural deities, who nurtured the land would continue to do so. In the time of the existence of these religions, everyone belonging to a certain county or state shared alike religions. In the time of ancient

Physical Distribution and Logistics Management

Question: Discuss about the Physical Distribution and Logistics Management. Answer: Introduction The retail industry has grown at a massive rate in the recent years that increase the level of competition due to free entry and exit of firms. New trends have been developed in the market with extensive changes in the strategies of the leading organisations. A change can be noticed in the taste and demand of the consumers that makes the customers look for huge merchandise and variety of products (Holmstrm, 2008). Hence, it is important for the retailers to implement competitive strategy by reducing cost of operations, provide on time deliver and variety of products. It has become mandatory for any retail organisation to implement innovative supply chain management to obtain speed and flexibility in operations (Farahvash Altiok, 2011). The study focuses on the current purchasing and inventory management system used by Brisbane Outdoor Power Centre. Furthermore, the paper discusses the advantages and disadvantages of the current purchasing and inventory management system used by the company. In accordance to the issues, innovative supply chain and inventory management concepts have discussed that can be helpful to increase the efficiency and reduce investment while maintaining adequate stock. Finally, the study presents necessary recommendations for Brisbane Outdoor Power Centre to restructure its procurement and inventory functions. Current Purchasing and inventory management process Under the leadership of Belinda Green, Brisbane Outdoor Power Centre has followed strict procurement and inventory management system controlling management practices directed to maintain the stocks. In the contemporary business scenario, the firm requires massive investment in stock. In addition to that, adequate resources of management have been included to utilise the investment to the stock. Meanwhile, the entire process of existing purchasing and inventory has been established according to Saxons laissez-faire approach. As a result of the scenario, the purchasing and inventory management system has looked somewhat odd in compared to other retail operating companies. The major areas of purchasing and inventory management of Brisbane Outdoor Power Centre have no integrated approaches (Viale, 2016). Each of the stores functioned autonomously, and the inventories have been managed following substantial orders. Whenever shortage of products has taken place, stocks have been shifted be tween stores to manage the situation. In the inventory management system, some of the most offered product brands items may vary within the shops. Primarily, this type of inventory management cannot be adopted in the competitors inventory management system (Ancarani, Di Mauro, DUrso, 2016). As the managers of the three stores of Brisbane Outdoor Power Centre have operated different levels of purchasing and inventory management system, the system of inventory and purchasing are entirely unconnected. Conversely, the diverse management systems of the three stores of Brisbane Outdoor Power Centre have no similarities and uniformities for practical sustainability (Zhang, Xu, Wu, 2009). On the basis of practical interest, the inventory management and purchasing system of the three stores of the firm is not providing any sustainability to the corporate business. Though in the case of shortage of items the system looks outstanding, the disconnection among the three management systems is not tactically correct (Zhuang, 2014). Competitive advantages and disadvantages of the currently used process The current purchasing and inventory management process of Brisbane Outdoor Power Centre have several advantages and disadvantages that impacts the business of the organisation. For example, the primary advantage of the current process is the less investment required to maintain the inventory (Jessop, 2014). Another advantage of the inventory management process is the less spaced required to store the inventories. It is known that advantages and disadvantages are two sides of the same coin. The competitive advantages and disadvantages of the currently used process are discussed herein below: Advantages Low Investment: The current process of the Brisbane Outdoor Power Centre needs low investment because there is no need of maintaining extra inventory. Along with that, it buys inventory according to the demand of the customers (Jessop, 2014). Along with that, few products are kept in the store that minimise the cost of inventory management. Low Space to Manage Inventory: The Company does not need any extra space to maintain the inventory that reduces the cost of warehouse (Nasiri, Davoudpour, Karimi, 2010). There is no need of any extra employee to maintain the warehouses. It reduces the work pressure of the inventory managers as the location of the warehouse is situated at the store. Individual Operations: Each and every store of the organisation operates separately. They order inventories according to their need (Jessop, 2014). Hence, the pressure over the inventory managers reduces due to low area of operations. Disadvantages Delay in Shipment: The orders for the inventory are made whenever needed according to the exhaustion of the stock. In other words, the orders are made when the stock finishes that leads to delay in shipments (Laing Cotton, 2007). Customers visiting the store need to wait for the stock to come for purchasing a product. Lack of Stock: The lack of stock makes the customers wait for the new shipments to come. Every store does not have all products that are in demand and manages from other stores to meet the customers need (Jessop, 2014). It leads to loss of time and money to bring new stocks to meet the customised needs of the customers. Loss of Reputation: The lack of stock and delay in shipments leads to loss of reputation of the stores in this competitive market. It impacts the loyalty of the customer towards the company. Hence, it will negatively impact the business in the current market scenario (Laing Cotton, 2007). Appropriate supply-chain and inventory management system The appropriate supply chain and inventory management system to increase efficiency and reduce investment whilst maintaining adequate stock levels can be achieved by implementing the following strategies. Understandably, supply chain management theory can be taken into consideration in the business structure of the organisation. By identifying the demand of the customers, innovative, high quality and low cost brand products must be promoted according to the latest supply chain management theory to meet the demand of the customers. Moreover, the hybrid type of supply chain management will be suitable for significant operations in the each of the branches of Brisbane Outdoor Power Centre. Constant analysis and manipulation: There is a need of constant analysis and manipulation of new procurement strategies by conducting regular market research (Raki, 2014). Decisively, demand theory must be identified as one of the best theoretical concepts to develop latest procurement ideas delivering solid inventory management system. The supply chain management of the company must be aware of the facts regarding the changes of price in the market and must maintain good relation with different suppliers Implement Just-In-Time Strategy: The organisation must implement Just-In-Time strategy to minimise cost of maintaining extra stock (Wild, 2007). It helps to reduce the space of maintaining inventory. Furthermore, the Just-In-Time policy increases the reputation of the company in the market. Common inventory: There is a need of common inventory for all three stores. A common warehouse will help the company to increase the efficiency of supply chain system and reduce pressure by eliminating the situations of emergency (Shockley Fetter, 2015). In operations management, inventory theory is another exceptional theoretical concept to design the inventory model in order to minimise the cost. Applying the theory, the organisation must promote a significant inventory management and procurement system. Online Inventory System: The online inventory system will help the stores to order products automatically. The online inventory system can be managed using procurement theory creating a paradigm leading to effective inventory management. Procurement theory can be utilised within the inventory management to develop the inventory management following the supplier and consumer model in the same chain system. It will reduce the pressure of the inventory managers and enable the company with efficient supply chain management (Dollar, 2010). Furthermore, the online inventory management system will work according to a fixed plan that will provide better flexibility and faster service. Recommendations for restructuring the purchasing and inventory functions As the purchasing and inventory management has been one of the most effective systems to control the productivity of a firm, a purposeful restructuring of the existing purchasing and inventory management of Brisbane Outdoor Power Centre is recommended on basis of certain modern supply chain theories (Babbar Prasad, 2008). Through the identification of the problems attached to the scenario, some of the valid recommendations have been advised as follows. Clearly, hybrid supply chain management will be evident for Brisbane Outdoor Power Centre as such SCM has used make-to-stock and lean strategies to provide efficient stock maintenance in order to meet the demand of the customers. Apply Multi-Period and Just-In-Time Inventory Models: By considering the demand theory, the existing business operations of Brisbane Outdoor Power Centres three stores have been suitable for multi-period inventory models to be chosen (Ramalhinho Dias Loureno Ribeiro, 2015). The fixed-order quantity model can control event triggered situation such as stocking and the Just-In Time design can increase the sales at the same time (Ramalhinho Dias Loureno Ribeiro, 2015). Thus, efficient purchasing and inventory system can be managed. Modern Supply Chain System: Through the listing of the stockings and products of each of three stores using an online inventory system, a unanimous purchase order decisions should have been promoted to maintain the sustainability of the system (Ramalhinho Dias Loureno Ribeiro, 2015). In this way, identifying the Supply chain management theory, a reserve of items and costs of inventory can be suitably handled. It helps to eliminate the lack of stock and allows every store to sell a variety of products. Centralised Warehouse: Invariably, centralised warehouse must be planned so that the maintenance of the procurement procedure and inventory system will be lot easier (Ritchken Tapiero, 2016). According to the procurement model theory, through tracking down the balance of the purchasing items, the reserves and return ratio of the stock must be centralised to restrict the purchasing. Thus, using a single record system the labour cost and maintenance cost can be minimised (Ritchken Tapiero, 2016). Cost Savings Contemplation: In purchasing and inventory management, Brisbane Outdoor Power Centre must select standardised suppliers and consignment agreements to promote cost saving contemplation. In this way, by following inventory theory, significant benefits can be achieved reducing inventory and stocks. Standardised suppliers will promote on-time delivery and reduce the price of raw materials through bulk purchase for all of the three stores at a time (Sepehri, 2011). Such efficient purchasing and inventory system can be effective for Brisbane Outdoor Power Centres management to control the maintenance functionality of the purchasing and inventory management system (Sepehri, 2011). If the recommendations are approved, the following action plan can be implemented as given in the table below: TASK ACCOUNTABLE OFFICER TIME REMARKS Undertake stock to take of inventory of Brisbane Outdoor Power Centre Personal Information Manager (PIM), Branch Manager 15-Oct-16 Report to PIM to conduct baseline data establishment Formulate and plan latest Supply Chain Management and inventory system PIM, Branch Manager Nov-16 Draft contract document for Supply Chain Management partners PIM, Branch Manager Nov-16 Approval of Board for recent SCM arrangements, Legal advice regarding latest contract arrangements with partners Select and appoint SCM partners PIM, Branch Manager Dec-16 Contracts signed off Restructure Brisbane Power's Supply Chain into latest developed inventory system PIM, Branch Manager Dec-16 Report to be drafted by PIM for Board of Directors Conclusion The previous operations of Brisbane Outdoor Power Centre under the leadership of Donald Saxon have seen the impressive development of the business. The outlets of Brisbane Outdoor Power Centre have managed effectively creating a massive buzz around the market. The efficient management of the purchasing and inventory system has earned a strong reputation within the target market. The reliability and performance standards of the knowledgeable workforce of Brisbane Outdoor Power Centres stores have contributed to the achievements of the three outlets situated at different locations. Meanwhile, as the business moves on, the management of inventory and purchasing of orders has lost the potentials. The quality of the merchandising has decreased considerably under the market scenario. As a result of the circumstances, for the retail establishment within the market, significant steps must be taken by the management improving the existing management standards of supply chain, purchasing and s tock maintenance. Evidently, Ms Green must identify the tight financial situation of the firm to approve the latest recommendations in inventory management. The odd existing purchasing and inventory management system of Brisbane Outdoor Power Centres three outlets and the functionality of the managers must be altered as soon as possible. Through the implementation of multi-period inventory models, the efficient strategic modification must be developed within the system. Also, centralised outlets and cost saving considerations must be promoted to reduce the cost of inventory. References Ancarani, A., Di Mauro, C., DUrso, D. (2016). Measuring overconfidence in inventory management decisions.Journal Of Purchasing And Supply Management,22(3), 171-180. https://dx.doi.org/10.1016/j.pursup.2016.05.001 Babbar, S. Prasad, S. (2008). International purchasing, inventory management and logistics research.International Journal Of Physical Distribution Logistics Management,28(6), 403-433. https://dx.doi.org/10.1108/09600039810245076 Dollar, W. (2010).Purchasing management and inventory control for small business. Washington, D.C.: U.S. Small Business Administration, Office of Management Information and Training. Farahvash, P. Altiok, T. (2011). A multi-period inventory model with multi-dimensional procurement bidding.Annals Of Operations Research,186(1), 101-118. https://dx.doi.org/10.1007/s10479-011-0893-4 Holmstrm, J. (2008). Business process innovation in the supply chain a case study of implementing vendor managed inventory.European Journal Of Purchasing Supply Management,4(2-3), 127-131. https://dx.doi.org/10.1016/s0969-7012(97)00028-2 Jessop, D. (2014). Purchasing and the management of materials.European Journal Of Purchasing Supply Management,1(3), 193. https://dx.doi.org/10.1016/0969-7012(94)90009-4 Jessop, D. (2014). Purchasing management, analysis, planning and practice.European Journal Of Purchasing Supply Management,1(3), 194-195. https://dx.doi.org/10.1016/0969-7012(94)90010-8 Laing, A. Cotton, S. (2007). Patterns of inter-organizational purchasing.European Journal Of Purchasing Supply Management,3(2), 83-91. https://dx.doi.org/10.1016/s0969-7012(96)00020-2 Nasiri, P., Davoudpour, H., Karimi, B. (2010). The Impact of Integrated Analysis on Supply chain Management: A Coordinated Approach for Inventory Control Policy.Supply Chain Management: An International Journal,15(4). https://dx.doi.org/10.1108/13598541080001412 Raki, H. (2014). An application of RFID in supply chain management to reduce inventory estimation error.10.5267/J.Uscm,2(2), 97-104. https://dx.doi.org/10.5267/j.uscm.2014.1.001 Ramalhinho Dias Loureno, H. Ribeiro, R. (2015), Multi-Period Vendor Managed Inventory Systems.SSRN Electronic Journal. https://dx.doi.org/10.2139/ssrn.563261 Ritchken, P. Tapiero, C. (2016). Contingent Claims Contracting for Purchasing Decisions in Inventory Management.Operations Research,34(6), 864-870. https://dx.doi.org/10.1287/opre.34.6.864 Sepehri, M. (2011). Cost and inventory benefits of cooperation in multi-period and multi-product supply.Scientia Iranica,18(3), 731-741. https://dx.doi.org/10.1016/j.scient.2011.05.020 Shockley, J. Fetter, G. (2015). Distribution co-opetition and multi-level inventory management performance: An industry analysis and simulation.Journal Of Purchasing And Supply Management,21(1), 51-63. https://dx.doi.org/10.1016/j.pursup.2014.09.002 Viale, J. (2016).Inventory management. Menlo Park, Calif.: Crisp Publications. Wild, A. (2007).Best practice in inventory management. New York: Wiley. Zhang, D., Xu, H., Wu, Y. (2009). Single and multi-period optimal inventory control models with risk-averse constraints.European Journal Of Operational Research,199(2), 420-434. https://dx.doi.org/10.1016/j.ejor.2008.11.047 Zhuang, Z. (2014). Inventory Information Management of Logistics Supply Chain.AMR,989-994, 5453-5456. https://dx.doi.org/10.4028/www.scientific.net/amr.989-994.5453.

Treatment Plan Medical Directors Association

Question: Discuss about theTreatment Planfor Medical Directors Association. Answer: Introduction: The patient is 69 years old and is presented by Korsakoff Syndrome. It is said that she has a history of Hepatic Encephalopathy, Epilepsy, Osteoarthritis and urine incontinent. The nurse should proceed with her investigation to confirm the presence of the syndrome and then provide a treatment plan for her. The following essay would describe the diagnostic tools, assessment of the disorder and treatment plan for the same. The patient is affected by the Korsakoff syndrome. Before proceeding with the diagnostic tools and describing the procedure of the treatment approach. Under the normal conditions, thiamin plays a very important role especially in the metabolism of glucose and thereby providing energy in the brain. When thiamin gets reduced in amount, it results in an inadequate supply of thiamin to the brain more particularly in the hypothalamus. Hypothalamus mainly regulates the body temperature, growth, appetite and also controls emotional response. Besides, it also controls the pituitary functions like metabolism and also different release of hormones (Oudman et al. 2014). It also harms the neural pathways that mainly take part in the different memory function in the mammalian brain. Therefore, when thiamine deficiency occurs in the brain, energy is not produced and the above mentioned side effects are observed. Symptom Analysis: The patient was a sufferer form Hepatic Encephalopathy which is an acute disorder that remains intricately associated with liver dysfunction. As the patient had a habit of drinking alcohol much more than the normal rate, it had affected her previous disorders. Chronic alcoholism mainly affects the thiamine uptake and also hampers the utilization of the thiamine. Thereby, the disorder has been the result of alcohol uptake and thereby had caused the patient to suffer a lot (Gerridzen et al., 2016). In order to explain the correct diagnostic tools, it must be mentioned that diagnosis of the disease is very difficult. I the acute cases, the patient may be noted to develop skin changes with a beefy tongue (Miguel et al., 2016). However this are just symptoms and do not confirm the disorder. Blood count, electrolytes and also liver function tests need to be conducted as diagnostic tools. In order to explain the various diagnostic tools that may help the identification of the syndrome in the patient would be the serum albumin level. This will help to measure the level of albumin in the blood and will portray whether any sort of protein deficiency is present in the blood or not, that will help to identify her nutritional deficiency. Followed by that, serum albumin test will be conducted that will help to understand the level of B1 vitamin in blood. This can be further confirmed with the enzyme activity test if the patient responds in a low enzyme activity tests, one can understand that the patient has Korsakoff syndrome (Horton et al., 2015). As the patient already have history of the hepatic encephalopathy, therefore the concerned person for the diagnosis can easily take chances with the above mentioned diagnostic tools as it is a neurological disorder in the brain occurring to persons with liver damage. Moreover the patient also has history of epilepsy that mainly occurs when the the electrical impulses in the brain are not following the usual rhythm and thereby result in seizures. Therefore alcohol uptake and the associated history of disorders already give us a clue that nutritional deficiency is mainly affecting the brains work (Atkins et al., 2015). The nurse can thereby apply another type of diagnostic tool that will mainly contain the conductance of an electrocardiogram in the absence of vitamin B1 and gain in the presence of the Vitamin B1. While she is conducting this diagnostic test for the patient, the nurse should also ensure that whether the patient had developed any brain lesions due to hepatic encephalopathy. The nurse can also undertake an MRI test that will show shrunken mammaliary bodies as well as other associated changes in the brain if the patient really has Korsakoff syndrome (Steinmetz et al., 2016). Basically, the diagnosis of the diseases is very difficult because there is no specific test that helps in identification of the diseases individually. These is mainly because the syndrome often gets masked by the symptoms of other condition common among different patient like those who misuse alcohol both involving intoxication as well as withdrawal and infection and also head injury (Risko et al., 2015). One can see here also that the patient was alcoholic and so her chances to be affected increases. Often the symptoms that the patient shows can be misunderstood with the symptoms of Alzheimers dementia. However this dementia is very different from the dementia that occur die to Korsakoff syndrome. Therefore diagnosis of the diseases has often been very difficult and is reported mainly after the death of individual after post mortem. The symptoms that the patient shows like confusion, hallucinations, apathy, communication issues, problems in learning new information and memory impairment. These are also the symptoms of many other types of mental disorders as well which make it very difficult for health care professionals to denote them. Many healthcare professionals utilize different medications for Alzheimers and when they are not recovering the patient, then only the professionals can guess about the occurrence of the diseases through the tools that are mentioned above (Svanberg Evans, 2014). When a nurse suspects the occurrence of the Korsakoff syndrome, she can further confirm her diagnosis by the incorporation of the high dose parenteral thiamin. Parenteral thiamine can itself be associated with a very small risk of anaphylactic reactions but the nurse should only provide this thiamine to the patient where proper resuscitation program would be present. If the patient really has the syndrome then she would inevitably show response of recovery. The ocular abnormality of the patient will recover at a much faster rate like within days to within a week. Ataxia will also respond within a few days only but may take about a month or so to resolve. Improvements will also be observed in the cases of the patient as the acute confusion or delirium that the patient is experiencing may also be resolved within only 1 to two days. The global confusion of the patient will also be seen to resolve and also improve within two to three weeks but may also take about one to three months for complete recovery (Marin Khan et al., 2015). Therefore, when the patient responses well to the nurses intervention of parenteral thiamine, it becomes clear that the patient is indeed responding and the vulnerability of the patient towards. Once the acute state of confusion that the patient is suffering from has been resolved, the nurse may carry out a particular type of clinical examination in order to be sure that whether any core deficits including physical examination is present or not that will help to ascertain the presence or absence of Symptoms of the disorder. The Mini- Mental State Examination (MMSE) can also help to screen whether any global confusion is present in the Korsakoff patient (Oudman et al., 2014). However researchers have stated that it is an inadequate assessment reading the memory functions. Therefore nurses nowadays also ask various types of supplementary questions in order to ensure and judge the condition of the patients (ORegan et al., 2016). As discussed above, the nurse have to thoroughly analyze the history of the the patient before doing any physical examination in order to understand the presence of the Korsakoff syndrome. She should also conduct a number of differential diagnoses in order to confirm her suspected disorder. Red cell transketolase activity usually gets decreased when thiamine deficiency takes place which can bear a signal for the syndrome (Beerens et al., 2014). Pyruvate also can get elevated and the serum thiamine levels will be low. Moreover the patient is already suffering from liver dysfunction and therefore has the hepatic encephalopathy. Therefore the nurse can easily have an idea that the alcohol consumption have been mainly the sole reason for the occurrences and can thereby claim that the patient is suffering from the Korsakoff syndrome. Symptom Management: After the nurse had conducted various diagnoses with the different diagnostic tools mentioned above and made a thorough assessment of the symptoms that the patient is facing along with the complete documental d evaluation of the history of the patient, she may prepare a treatment plan that would help to treat the patient. She should first make sure that the patient is completely avoiding alcohol. If the patient has significant alcohol dependency, she should be given thiamine supplementation. Besides, the nurse should also be sure that she should conduct adequate discharge and follow- up arrangements which are also as much important as the thiamine replacement (Rao, 2014). Proper maintenance of food and diet with adequate presence of all the important vitamins and minerals should also be ensured by the nurses so that she can provide an overall care for the patient. From the above discussion, one can come to the conclusion that the confirmation of the patient suffering from Korsakoff syndrome is very difficult. The nurse has to go through the history of the patient to make an idea of the occurrence of the diseases. From making an idea about the disorder the nurse should then try to confirm it with different medical tests that will help her to understand whether her assumptions are right. Once she is confirmed after differential diagnosis, she may proceed further and thereby implement her interventions through a detailed treatment plan which will help to cure the patient from her syndromes. Reference: Atkins, S., Rackham, K., Acevedo, J., Dowman, J. K., Fowell, A. J., Aspinall, R. J. (2015). PWE-138 Increasing burden of alcohol related brain injury is disproportionate to hospital admissions with liver disease.Gut,64(Suppl 1), A273-A273. Beerens, H. C., Sutcliffe, C., Renom-Guiteras, A., Soto, M. E., Suhonen, R., Zabalegui, A., ... RightTimePlaceCare Consortium. (2014). Quality of life and quality of care for people with dementia receiving long term institutional care or professional home care: the European RightTimePlaceCare study.Journal of the American Medical Directors Association,15(1), 54-61. Gerridzen, I. J., Moerman?van den Brink, W. G., Depla, M. F., Verschuur, E. M., Veenhuizen, R. B., Wouden, J. C., ... Joling, K. J. (2016). Prevalence and severity of behavioural symptoms in patients with Korsakoff syndrome and other alcohol?related cognitive disorders: a systematic review.International Journal of Geriatric Psychiatry. Horton, L., Duffy, T., Hollins Martin, C., Martin, C. R. (2015). Comprehensive assessment of alcohol?related brain damage (ARBD): gap or chasm in the evidence?.Journal of psychiatric and mental health nursing,22(1), 3-14. Martin-Khan, M., Salih, S. A., Rowland, J., Wootton, R., Gray, L. C. (2015). General practitioners, patients, and care givers support the use of a telegeriatric memory disorder consultation for older adults.Advances in Alzheimer's Disease,4(01), 1. Miguel, S., Alvira, M., Farr, M., Risco, E., Cabrera, E., Zabalegui, A. (2016). Quality of life and associated factors in older people with dementia living in long-term institutional care and home care.European Geriatric Medicine,7(4), 346-351. O'Regan, N. A., Maughan, K., Liddy, N., Fitzgerald, J., Adamis, D., Molloy, D. W., ... Timmons, S. (2016). Five short screening tests in the detection of prevalent delirium: diagnostic accuracy and performance in different neurocognitive subgroups.International Journal of Geriatric Psychiatry. Oudman, E., Postma, A., Van der Stigchel, S., Appelhof, B., Wijnia, J. W., Nijboer, T. C. (2014). The montreal cognitive assessment (MoCA) is superior to the mini mental state examination (MMSE) in detection of Korsakoffs syndrome.The Clinical Neuropsychologist,28(7), 1123-1132. Rao, T. (2014). The role of community nursing in providing integrated care for older people with alcohol misuse.British journal of community nursing,19(2). Risco, E., Cabrera, E., Jolley, D., Stephan, A., Karlsson, S., Verbeek, H., ... RightTimePlaceCare Consortium. (2015). The association between physical dependency and the presence of neuropsychiatric symptoms, with the admission of people with dementia to a long-term care institution: a prospective observational cohort study.International journal of nursing studies,52(5), 980-987. Steinmetz, J. P., Theisen-Flies, C., Federspiel, C. (2016). Views on quality of life differ between alcohol related brain damaged individuals and their healthcare professionals.Applied Research in Quality of Life,11(1), 239-251. Svanberg, J., Evans, J. J. (2014). Impact of SenseCam on memory, identity and mood in Korsakoff's syndrome: A single case experimental design study.Neuropsychological rehabilitation,24(3-4), 400-418.